A patient admitted with diagnosis of pericarditis develops hypotension, shortness of breath, tachycardia, distended neck veins. Which of the following procedures with the nurse anticipate assisting for this emergent situation?

A. Fever is a common manifestation of infective endocarditis and often indicates an ongoing infection or systemic inflammatory response. While it is important to monitor fever as it can signal worsening infection or treatment response, it is not necessarily the highest priority when compared to other potentially life-threatening complications.

B. Dyspnea, or difficulty breathing, is a critical manifestation to monitor in a patient with infective endocarditis. This symptom may indicate the presence of heart failure or pulmonary embolism, which can result from the infection.
C. Anorexia, or loss of appetite, is a common but less urgent symptom associated with various infections, including infective endocarditis. While it can affect the patient's nutritional status and overall well-being, it is not usually the most immediate or life-threatening concern compared to more acute manifestations like dyspnea.
D. Malaise, or a general feeling of discomfort or unease, is a common symptom of many infections, including infective endocarditis. While it reflects the patient's overall state of health and can be distressing, it is generally less critical than symptoms indicating acute or severe complications, such as dyspnea.

A. Among the four heart valves (aortic, mitral, tricuspid, and pulmonary), the aortic and mitral valves are indeed the most commonly replaced valves. Aortic stenosis and mitral valve regurgitation are frequent indications for valve replacement
B. Aortic stenosis primarily affects the left ventricle, not the right. Aortic stenosis causes an obstruction of blood flow from the left ventricle into the aorta, leading to increased left ventricular systolic pressure and increased afterload (the resistance the heart must overcome to eject blood). The right ventricular systolic pressure is not directly affected by aortic stenosis.
C. Mitral valve insufficiency (or regurgitation) primarily causes problems on the left side of the heart. When the mitral valve does not close properly, blood flows back into the left atrium during systole, increasing left atrial pressure. This can lead to pulmonary congestion and eventually affect the right side of the heart.
D. The tricuspid valve is on the right side of the heart and its inadequate closure (tricuspid regurgitation) affects the right side of the heart, leading to right-sided heart failure and systemic venous congestion. It does not directly cause overload in the left ventricle. Instead, the left ventricle is typically overloaded in conditions affecting the left side of the heart, such as mitral valve regurgitation or aortic stenosis.